INS and pancreatic insulinoma: Their patient was identified five years prior with low blood glucose readings with no neuroglycopenic symptoms or signs while blood studies (done four hours post-meal) for assessment of his hypertension were being done [5]. Lo CH et al., in a 2016 case report, described the finding of low blood sugar readings, a significantly low insulin level, and elevated C-peptide in a 50-year-old female patient who went on to have a histologically diagnosed insulinoma from a laparoscopic distal pancreatectomy.